FY2019 Full Year Results
JAPARA HEALTHCARE
26 August 2019
FY2019 Full Year Results 26 August 2019 Table of contents 01 - - PowerPoint PPT Presentation
JAPARA HEALTHCARE FY2019 Full Year Results 26 August 2019 Table of contents 01 Overview 2 02 Strategic initiatives 11 03 Industry and business observations 18 04 Summary and outlook 24 05 Appendices 26 2 01 Overview FY2019
26 August 2019
01 Overview 2 02 Strategic initiatives 11 03 Industry and business observations 18 04 Summary and outlook 24 05 Appendices 26
2
3
Strong care and cash flow results with ongoing investment in business operations and developments for improved resident outcomes and future earnings growth
Total revenue
Up 7.1% on FY2018 due mainly to full year contribution of Riviera Health acquisition
Occupancy
FY2019 average underlying
NPAT2
Down 29.6% on FY2018 due to lower non-recurring earnings and increasing depreciation and interest expense on developments in ramp up
Care
100% accreditation record maintained with 10 accreditations
EBITDA
Recurring EBITDA of $48.6m up 2.5% on FY2018
Dividends
3.35 cps final dividend (50% franked) 2.80 cps interim dividend (unfranked)
Net RAD and ILU inflows
$27.7m RAD uplift from mature homes
Developments
303 new places added including three new homes $99.4m net expenditure on land and construction
Net debt
Net debt at 30 June 2019 with core net debt of $44.5m and development debt of $134.5m
4
Japara’s “CREATE” values of compassion, respect, excellence, accountability, teamwork and enjoyment underpin our approach to care
Care vision
lives of our almost 4,000 valued residents under a model centered on providing excellent care and services with dignity and respect
homes
Dementia care
homes
and living principles for residents living with dementia
promotes independence, personal choices and quality of life with residents encouraged to live actively and purposefully reflecting our philosophy of “living life as usual“
managed interventions and improved lifestyle and behaviours
Quality and care standards
visits in FY2019 with 10 of Japara’s homes re-accredited during the year and a further 57 unannounced assessment contacts
Resident and staff member, Millward Japara resident, Anglesea
5
Greenfield developments
new greenfield developments totalling 219 places and our 50th home, Robina Rise in July 2019
Mt Waverley (105 places) and Newport (60 net new places)
approvals received for several developments including at Belrose (102 places) and Lysterfield (90 places)
for greenfield developments
Brownfield developments
totalling 84 places completed at Kingston Gardens and Mirridong
Victoria and South Australia acquired for future development purposes
for brownfield developments
Significant refurbishments
in FY2019 with a further six expected to complete in FY2020
the maximum accommodation supplement
People
staff provide our ~4,000 residents with personalised care 24 hours a day, 7 days a week
Leanne Rowe AM appointed to the Board bringing extensive clinical experience
appointments during the year to improve consumer engagement and the management
property portfolio
Measureable achievements from development and people initiatives during the year
Rye Sands Mirridong Kingston Gardens Staff member, Millward
6
Government temporary subsidy increase mitigated rising staff and other costs and impact of falling occupancy
Highlights
associated with preparation for new aged care quality standards introduction
for refurbishment
FY2019 EBITDA bridge ($m)
50.7 47.4 48.6 49.6 3.3 7.9 2.1 2.4 2.7 6.5 3.9 1.4 2.1 1.0
FY2018 EBITDA Net non- recurring items FY2018 recurring EBITDA Temporary subsidy boost Incremental Riviera Health Sig refurbs / developments COPE increase Staff costs Non wages costs Pre-reform run-off Occupancy FY2019 recurring EBITDA Net non- recurring items FY2019 EBITDA
1 1
7
NPAT1 and cash flows reflect significant investment in developments and technology to underpin future growth and provide better outcomes for our residents
Highlights
(increase of $2.1m) incurred on completed developments
$9.2m of maintenance expenditure
—
Core net debt of $44.5m (0.9x FY2019 EBITDA)
—
Core debt increased as developments complete and debt is moved from construction to core facility less pay down from cash flows
—
Available liquidity of $166m
30.3 82.6 37.6 34.2 51.8 133.6 159.9 86.0 17.6 81.8 26.3 15.7 Net debt as at 30 June 2018 Cash from operating activities Net RAD inflows Net land / asset purchases Construction IT & maintenance capex Dividends Net debt as at 30 June 2019 Development net debt largely attributable to Robina, Mt Waverley, Newport, Kingston Gardens, Brighton-Le- Sands and land holdings Development debt Core net debt 179.0 116.3
FY2019 net debt movement ($m)
34.0 44.7 134.5 44.5
Jun 18 Net developments Sig refurb Kiverton Park Dec 18 Net developments Sig refurb Jun 19
8
Challenging occupancy environment impacting key cost ratios, while increased bed prices have supported RAD inflows
for refurbishment
Operational metrics
2H FY2019 1H FY2019 2H FY2018 1H FY2018 Number of homes 49 49 48 44 Operational places (end of period) 4,235 4,125 4,069 3,906 Average occupancy1 92.2% 93.6% 94.0% 92.3% Average revenue per occupied bed day ($)3, 4 279.6 276.6 276.7 275.0 Average Government revenue per occupied bed day ($)3 201.1 201.1 199.8 198.1 Staff costs to revenue3, 4 72.6% 69.7% 69.5% 70.3% Non-wage costs to revenue3, 4 17.6% 17.3% 16.6% 16.5% Average concessional residents5 38.5% 39.3% 38.7% 38.2% Average incoming bed contract price ($’000) 378.1 355.7 323.9 350.6 Net RAD/Bond & ILU loan inflow ($m) 15.8 28.9 15.7 25.9
Operational place movement
4,069 4,125 4,235 +57 +29
+114
Highlights
the Royal Commission. Occupancy at 30 June 2019 was 92.8%2
from new developments
wages from EBA rate increases
RAD Combination DAP
9
Trends in contract prices and payment preferences of non-concessional residents relatively stable
Non-concessional portfolio mix as at 30 June 2019 (30 June 2018 in brackets) Total Residents
3,750 3,800 3,850 3,900 3,950 Jun-18 Sep-18 Dec-18 Mar-19 Jun-19
Highlights
evident
as at 23 August 2019
places in particular commanding higher prices
55.8% (55.3%) 17.7% (17.6%) 26.5% (27.0%) 250 300 350 400 450 Dec-14 Jun-15 Dec-15 Jun-16 Dec-16 Jun-17 Dec-17 Jun-18 Dec-18 Jun-19
Average incoming bed contract price ($’000)
487.0 160.3 132.6 15.9 530.6 100 200 300 400 500 600 700 RADs/Bonds at start
Incoming RADs - mature homes RADs/Bonds Refunds - mature homes Net RADs Greenfield/Brownfield Homes RADs/Bonds at end of period
10
Growth in mature home RAD inflows with developments expected to contribute further as homes mature
Highlights
—
$27.7m from mature homes (includes an increase in probate liability of $12.4m and excludes net ILU inflows of $1.1m)
—
$15.9m from completed greenfield and brownfield developments
—
Three greenfield homes were commissioned during October and December 2018 and Robina Rise has also recently opened in July 2019
—
An immediate focus on the opening of a new home is building occupied beds quickly, sometimes with non-RAD paying residents, and therefore RAD inflow can be more gradual
RAD cash flow ($m)
45.6m 58.0m Probate liability
11
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Japara has focused on meeting the communities’ care needs by developing new and upgrading existing homes and acquiring medium size portfolios and improving their care and amenity
Portfolio summary and growth
—
Two further developments are under construction (Mt Waverley & Newport)
—
Three homes are leased with the remainder owned freehold
—
Six owned sites expected to complete over the next 3 years; and
—
Two further regions where licenses are held but sites are required
number of surplus assets
—
Whelan Care – August 2014 (258 places plus 41 senior living apartments)
—
Profke – October 2015 (587 places across four homes)
—
Riviera Health – April 2018 (265 places across four homes)
—
413 new greenfield places at Riverside Views, The Highbury, Brighton-Le- Sands, Rye Sands and Robina Rise
—
Over 350 net new brownfield places at Millward, Mirridong, Albury, Kelaston, Bayview, Kirralee, George Vowell, St Judes, Central Park, Noosa and Kingston Gardens
now qualifying as Significantly Refurbished
South West Rocks 5 3 6 3
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Gympie Noosa Albury Adelaide Victorian Goldfields Greater Geelong Gippsland Launceston Melbourne Coffs Harbour Sydney Wyong 4 2 Robina
13 Near-term development pipeline (net new places)
26 52 18 106 60 105 25 60 28 38 106 102 90 122 90 105 30 30
FY2019 Strzelecki House Robina Kingston Gardens (stage 2) Mt Waverley Brighton-Le-Sands (stage 2) FY2020 Newport Albury Brighton Mitchelton Belrose FY2021 Lysterfield Highton Reservoir Gold Coast Lower Plenty Kelaston FY2022
FY20 314 places FY21 334 places FY22 467 places
Greenfield (886 net new beds) Brownfield (229 net new beds) Developments ramping up (52) Offline due to refurbishment (26 beds) Operational beds (4,235)
Japara’s near-term development pipeline comprises 1,115 net new places with new developments added on the Gold Coast, Lower Plenty and Kelaston
4,235 4,627 4,961 5,428
14 Robina Rise (QLD)
bed home, Japara’s fiftieth home
home-like environment
construction commenced in May 2018
and entertainment space
Robina Rise, Japara’s newest home, opened in mid-July 2019 and is currently home to 55 residents
Robina Rise Aerial Robina Rise Rooftop Terrace
Robina Rise Resident Lounge
15
Recently opened greenfield homes performing well
FY2019 development activity
—
New 99 single room home located on the Mornington Peninsula approximately one hour from Melbourne
—
Currently has 70 residents1
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New 60 single room home located in metropolitan Melbourne
—
Currently has 44 residents1 (June 2019 occupancy of 59 residents)
—
New 60 single room home located in metropolitan Sydney
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Currently has 56 residents1
—
16 single room, ‘small house’ memory support accommodation extension to existing Bendigo home
—
New 68 single room extension opened September 2018
to complete in FY2020
supplement
The Highbury Rye Sands
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Good progress made on near-term development pipeline
FY2020 and beyond development activity
—
Remaining 60 places currently being fully refurbished as stage 2 of the development (expected to open September 2019)
—
Construction underway on a 14 place extension and significant refurbishment of the existing home due for completion in September 2019
—
Construction underway on a 105 single bed room home in Melbourne
—
Construction underway on a 25 place extension of the existing home
—
Development approval obtained for a 102 bed home
—
Development approval obtained for a 90 bed home
—
Development approval obtained for a 122 bed home
—
2,500 sqm of land secured adjacent to Japara’s Elanora home in June 2019 which will enable the future redevelopment of this site
—
1,219 sqm of land secured adjacent to Japara’s Oaklands home in June 2019 which will facilitate the extension of this home
—
358 places were allocated to Japara for greenfield development in Coolangatta, Carlingford and Mitchelton
—
29 places allocated to Japara for brownfield development in Albury
Kingston Gardens Render Mount Waverley Render
Land holdings Net new places Book value ($m) Mitchelton (QLD) 106 6.7 Belrose (NSW) 102 7.4 Lysterfield (VIC) 90 4.7 Highton (VIC) 122 4.3 Reservoir (VIC) 90 7.6 Kingston Way Estate (VIC)
Toukley (NSW)
Bundaberg (QLD)
Glenning Valley (NSW)
Total 510 41.0
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Japara has made a significant investment in its development pipeline with future RADs expected to reduce debt and provide funding for further growth
Development funding summary
future earnings growth
indicative greenfield development cash flows)
net new places with minimal further expenditure required
(see table for detail)
Newport) are expected to add a further 225 places and contribute ~$68m in RAD inflows
—
~$47m in capital expenditure still required to complete these developments
RAD preference for non-supported residents and a weighted average RAD to local house price ratio of between 55%-60%
medium-term growth
—
Core net debt of $44.5m (0.9x FY2019 EBITDA)
—
Development debt of $134.5m
—
Available liquidity of $166.0m Developments ramping up Net new places Expected future RADs ($m) Capex remaining ($m) Riverside Views 88
99
60
85 5.2 Kingston Gardens 56 1.2 Mirridong 16
106
510 97-101 6.4
18
19 Royal Commission into Aged Care Quality and Safety
aged care sector
and ACT
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There have also been Community Forums allowing for direct community access to the Commissioners
June 2019 with the focus on:
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the delivery of Person-Centered Care at our Mitcham home in South Australia; and
—
reportable incidents to the Department of Health
Aged care provider temporary general subsidy increase
increase on 20 March 2019 effected via an increase to the rate of residential care basic subsidies of approximately 9.5%
The sector continues to be subject to a significant amount of review and proposed reform
Transition to the new single Aged Care Quality Standards
replacing a number of existing standards including the Accreditation Standards, Home Care Standards and Transition Care Standards
comprehensive transition plan, including reviewing all of its current policies and procedures against the new standards and updating them where necessary
~5,600 staff in delivering care in line with the new Standards
Resource Utilisation Classification Study (RUCS) update
reports to the Federal Aged Care Minister with recommendations on changing the Government aged care funding structure
residents that drive residential care costs, and use this information to inform the Government’s consideration of future reform options
Government and industry) have agreed to continue meeting to project plan any future changes to the Government’s aged care funding model
ACC) assessment model are expected to commence in late 2019
assess the care needs of the resident (compared to current ACFI internal assessment model subject to external validation audits)
1,000 2,000 3,000 4,000 5,000 6,000 7,000 90% 91% 92% 93% 94% 95% 96% 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Annual residential aged care sector occupancy (LHS) vs annual net place additions (RHS)
ACFA/AIHW Occupancy (LHS) MIRUS Occupancy (LHS)
20
Sector occupancy has declined over the past four years, particularly in older facilities, as the supply of new places has exceeded growth in resident numbers
Source: AIHW, ACFA, MIRUS Australia AIHW/ACFA data includes all facilities, places and residents. MIRUS Australia data comprises a sample of approximately 30% of industry facilities, places and residents
ACFA/AIHW net new places (RHS)
21
Overall levels of acuity in residential aged care increased until 2017 when Government scoring changes reduced the measure of acuity in the complex health care domain
Source: GEN Aged Care
0% 10% 20% 30% 40% 50% 60% 70% 2009 2011 2013 2015 2017 Nil Low Medium High
Activities of Daily Living Acuity
0% 10% 20% 30% 40% 50% 60% 70% 2009 2011 2013 2015 2017
Nil Low Medium High
Complex Health Care Acuity
(27.3%) p.a. growth 6.5% p.a. growth 0.6% p.a. growth (10.5%) p.a. growth 0% 10% 20% 30% 40% 50% 60% 70% 2009 2011 2013 2015 2017
Nil Low Medium High
Cognition and Behaviours Acuity
(14.2%) p.a. growth 6.3% p.a. growth (1.7)% p.a. growth (8.4)% p.a. growth (28.8%) p.a. growth 17.2% p.a. growth 1.0% p.a. growth (9.8%) p.a. growth
22
The proportion of 70+ year-olds in residential care has dropped over time with no noticeable impact from recent additional home care packages (comprising mainly level 2 packages)
Source: Australian Bureau of Statistics, ACFA, AIHW, GEN Aged Care
5.0% 6.0% 7.0% 8.0% 9.0% 10.0% 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 5 10 15 20 25 30 35 40 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Packages (‘000) Level 1 Package Level 2 Package Level 3 Package Level 4 Package
New annual home care recipients by package value (‘000)
$8,750 p.a. package value $50,750 p.a. package value $33,500 p.a. package value $15,250 p.a. package value
Total residential aged care residents as % of population >70 years
23
Annual indexation of Government aged care funding has not kept pace with increases in the largest aged care cost being care staff wages
Source: GEN Aged Care Data
0% 1% 2% 3% 4% 5% 2010 2011 2012 2013 2014 2015 2016 2017 2018 Commonwealth Own Purpose Expense (COPE) ACFI indexation Age Care Award 2010 annual increase
Annual residential aged care funding and cost escalation rates
24
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Focus on delivery of business initiatives in a challenging environment
FY2019 Summary
brownfield developments and refurbishments
contributed for the full 12 month period and the Government’s temporary subsidy increase
items with recurring EBITDA up by 2.5%
June 2019 and available liquidity of $166.0m
FY2020 Outlook
remains below historic levels
headwinds as they contribute a full year of earnings and annual ACFI indexation is expected to partially offset wage rate increases
300 net new places expected to be opened in FY2020
higher bed contract prices
Japara Resident Japara Resident
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FY2019 FY2018 Change $'000 $'000 % $'000 Revenue Government care and accommodation funding 287,735 262,981 9.4% 24,754 Resident fees 107,202 98,542 8.8% 8,660 Other income 4,831 11,665
(6,834) Total revenue & other income 399,768 373,188 7.1% 26,580 Expenses Employee benefits expense (277,563) (258,967) 7.2% (18,596) Resident costs (34,225) (31,874) 7.4% (2,351) Other costs (38,427) (31,694) 21.2% (6,733) Total expenses (350,215) (322,535) 8.6% (27,680) EBITDA 49,553 50,653
(1,100) Depreciation and amortisation (19,995) (17,150) 16.6% (2,845) EBIT 29,558 33,503
(3,945) Net finance costs (5,914) (3,817) 54.9% (2,097) Income tax expense (7,211) (6,359) 13.4% (852) NPAT1 16,433 23,327
(6,894)
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FY2019 FY2018 $'000 $'000 Cash flows from operating activities: Receipts from customers 389,844 361,250 Payments to suppliers and employees (347,516) (315,824) Income taxes paid (2,347) (6,342) Interest received 414 674 Finance costs paid (6,436) (4,263) Net cash provided by operating activities 33,959 35,495 Cash flows from investing activities: Purchase of land & buildings (18,289) (19,626) Proceeds from sale of land and buildings 1,671 313 Purchase of plant and equipment (29,687) (10,158) Capital works in progress (78,387) (78,753) Proceeds from sale of surplus resident places 3,416
(960)
(3,423)
Net cash used in investing activities (125,659) (148,541) Cash flows from financing activities: Proceeds from issue of share capital 1,733 634 Dividends paid (17,448) (25,897) Net proceeds from bank borrowings 65,000 84,500 Proceeds from RADs and ILU resident loans 183,262 190,185 Repayment of RADs/accommodation bonds and ILU resident loans (138,533) (148,594) Net cash provided by financing activities 94,014 100,828 Net increase/(decrease) in cash and cash equivalents held 2,314 (12,218) Cash and cash equivalents at beginning of the year 29,158 41,376 Cash and cash equivalents at end of the year 31,472 29,158
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30-Jun-19 30-Jun-18 $'000 $'000 Assets Current assets Cash 31,472 29,158 Trade and other receivables 14,640 9,356 Current tax receivable
Other assets 6,216 6,405 Total current assets 52,328 47,548 Non-current assets Trade and other receivables 2,347 1,834 Non-current assets held for sale 2,192 1,728 Property, plant and equipment 787,767 687,720 Investment property 39,200 38,398 Intangible assets 494,801 491,378 Total non-current assets 1,326,307 1,221,058 Total assets 1,378,635 1,268,606 Liabilities Current liabilities Trade and other payables 27,005 38,570 Other liabilities 8,568 3,650 Borrowings 40,750 21,000 Current tax payable 377
554,649 509,348 Employee provisions 36,645 33,456 Total current liabilities 667,994 606,024 Non-current liabilities Borrowings 169,750 124,500 Deferred tax liabilities 2,420 563 Employee provisions 3,975 3,741 Other financial liabilities 2,412
178,557 128,804 Total liabilities 846,551 734,828 Net assets 532,084 533,778 Equity Issued capital 524,695 522,962 Hedging reserve (2,412)
9,801 10,816 Total equity 532,084 533,778
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FY2019 FY2018 $m $m Non recurring items Profit on sale of surplus bed licences 3.4
0.8 1.7 Profit on sale of land 0.3
(1.8)
(1.0) (0.8) Redundancies / restructuring (0.7) (3.4) Net gain on acquisition
Capital Refurbishment Deduction adjustment – prior year
Corporate office relocation provision and discontinued projects
Total 1.0 3.3
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As at As at Change 30 June 2019 30 June 2018 Resident mix Concessional 1,635 42% 1,627 43% 0.5% RAD 1,170 30% 1,125 29% 4.0% DAP 555 14% 549 14% 1.1% Combination 370 9% 360 9% 2.8% Pre-reform high-care places 23 1% 35 1% (34.3%) Respite 159 4% 115 3% 38.3% TCP / Other 17 0% 32 1% (46.9%) Total residents 3,929 100% 3,843 100% 2.2% Staffing Number of staff (including part time and casuals) 5,628 5,451 3.2% Places Operational places 4,235 4,069 4.1% Non-operational places 591 466 26.8% Provisional ACAR allocations 973 922 5.5% Total places 5,799 5,457 6.3% Places (metro/major regional, regional split) Metro/major regional 4,558 79% 4,231 78% 7.7% Regional 1,241 21% 1,226 22% 1.2% Total places 5,799 100% 5,457 100% 6.3% Geographic spread (places) VIC 67% 65% NSW 14% 15% SA 7% 8% QLD 7% 7% TAS 5% 5% Total 100% 100% Funded bed days 1,391,966 1,323,563 5.2%
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Significant greenfield developments program comprising 946 new places
Greenfield developments Program status Total new places Net new places Estimated resident admission
Robina (Gold Coast) Completed July 2019 106 106 1H FY2020 Mt Waverley (Melbourne) Construction 105 105 2H FY2020 Newport (Melbourne) Construction 120 60 1H FY2021 Mitchelton (Brisbane) Tender 106 106 1H FY2021 Belrose (Sydney) Tender 102 102 2H FY2021 Lysterfield (Melbourne) Detailed design 90 90 1H FY2022 Reservoir (Melbourne) Town planning 90 90 1H FY2022 Highton (Geelong) Detailed design 122 122 1H FY2022 Gold Coast Concept design 105 105 2H FY2022 Total 946 886
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Recent completed developments Total new places Net new places Completed
Noosa (Sunshine Coast) 12 1H FY2018 Riverside (Tasmania) 88 88 1H FY2018 Glen Waverley (Melbourne) 60 60 1H FY2019 Rye (Victoria) 99 99 1H FY2019 Brighton-Le-Sands (Sydney) 60 60 1H FY2019 Kingston Gardens Stage 1 (Springvale) 68
1H FY2019 Mirridong (Bendigo) 16 16 1H FY2019 Total 403 319
Brownfield developments Program status Total new places Net new places Estimated resident admission
Strzelecki House (Mirboo North) Construction 18 181 1H FY2020 Kingston Gardens Stage 2 (Springvale) Construction 60 60 1H FY2020 Brighton-Le-Sands Stage 2 (Sydney) Construction 25 25 2H FY2020 Albury (NSW) Tender 28 28 1H FY2021 Brighton (SA) Tender 52 38 2H FY2021 Lower Plenty (VIC) Concept design 30 30 2H FY2022 Kelaston (VIC) Concept design 30 30 2H FY2022 Total 243 229
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Development projects provide quality new aged care homes for residents and also incremental earnings for operators
Cash flow Negative Positive Yr 1 Yr 2 Yr 3 Yr 4 Yr 5
Planning/Design Ramp up Fit out
Sustainable EBITDA + RAD uplift
~$18.5m
Land acquisition Construction
RAD cash inflow
Earnings up-lift $20,000 - $30,000 EBITDA per place Sustainable EBITDA: $2m - $3m p.a.
Equity
~$12.5m
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This presentation was prepared by Japara Healthcare Limited (ABN 54 168 631 052), the Company. Information contained in this presentation is current as at 26 August 2019. This presentation is provided for information purposes only and has been prepared without taking account of any particular reader’s financial situation,
information in this presentation, consider its appropriateness, having regard to their objectives, financial situation and needs, and seek the assistance of their financial or other licensed professional adviser before making any investment decision. This presentation does not constitute an offer, invitation, solicitation or recommendation with respect to the subscription for, purchase or sale of any security, nor does it form the basis of any contract or commitment. Except as required by law, no representation or warranty, express or implied, is made as to the fairness, accuracy or completeness of the information, opinions and conclusions, or as to the reasonableness of any assumption, contained in this presentation. By reading this presentation and to the extent permitted by law, the reader releases the Company and its affiliates, and any of their respective directors, officers, employees, representatives or advisers from any liability (including, without limitation, in respect of direct, indirect or consequential loss or damage or loss or damage arising by negligence) arising in relation to any reader relying on anything contained in or omitted from this presentation. The forward looking statements included in this presentation involve subjective judgment and analysis and are subject to significant uncertainties, risks and contingencies, many of which are outside the control of, and are unknown to, the Company. In particular, they speak only as of the date of these materials, they assume the success of Japara Healthcare Limited’s business strategies, and they are subject to significant regulatory, business, competitive and economic uncertainties and risks. Actual future events may vary materially from forward looking statements and the assumptions on which those statements are based. Given these uncertainties, readers are cautioned not to place reliance on such forward looking statements. Past performance is not a reliable indicator of future performance.